Under the new guidelines, the CDC recommends all children be vaccinated against 11 diseases, a decrease from the 17 immunizations previously recommended.

United States healthcare leaders announced Monday they would be changing which vaccines would be recommended for children, cutting the number down from 17 to 11 and leaving the decisions in the hands of parents and physicians.

On Monday, the CDC announced revisions to the U.S. childhood immunization schedule that cut the number of recommended shots from 17 to 11. The new guidance is controversial, but it isn’t expected to affect access in New Jersey.

Six routine vaccines that have safeguarded millions from serious diseases are no longer being recommended for all children by the CDC.

A child in San Mateo County died of influenza this week, only days after the CDC announced a new reduced list of recommended vaccinations.

However, NCDHHS “does not anticipate changes” to its childhood vaccine guidance, a spokesperson told The Charlotte Observer Tuesday. As a result, N.C. students will still be required to receive some vaccinations no longer on the CDC’s list of vaccines recommended for all children.

Flu activity could continue to increase in the U.S. over the next few weeks, according to a top flu epidemiologist at the CDC.